Federal Investigations & Audits

Drug Manufacturers

Insulin: Examining the Factors Driving the Rising Cost of a Century Old Drug, Staff Report - Senate Finance Committee

Drug Pricing Investigation, Majority Staff Report - House Committee on Oversight and Reform

HRA 340B Audits of Manufacturers, Health Resources & Services Administration

Teva National Opioid Settlement, Plaintiffs’ Executive Committee

Allergan National Opioid Settlement, Plaintiffs’ Executive Committee

Janssen National Opioid Settlement, Plaintiffs’ Executive Committee

Purdue National Opioid Settlement, Plaintiffs’ Executive Committee

PBMs

WHEN CVS WRITES THE RULES: HOW CVS PROTECTS ITSELF FROM INNOVATION AND COMPETITION, Interim Staff Report - House Judiciary Committee

Pharmacy Benefit Managers: The Powerful Middlemen Inflating Drug Costs and Squeezing Main Street Pharmacies, Interim Staff Report - Federal Trade Commission

Specialty Generic Drugs: A Growing Profit Center for Vertically Integrated Pharmacy Benefit Managers, Second Interim Staff Report - Federal Trade Commission

Audit of Compass Rose Health Plan’s Pharmacy Operations as Administered by Express Scripts, Inc. for Contract Years 2017 through 2022, US Office of Personnel Management Office of the Inspector General Office of Audits

Audit of the American Postal Workers Union Health Plan’s Pharmacy Operations as Administered by Express Scripts, Inc. for Contract Years 2016 through 2021, US Office of Personnel Management Office of the Inspector General Office of Audits

The Role of Pharmacy Benefit Managers in Prescription Drug Markets, House Committee on Oversight and Accountability Staff

Pharmacies

National Opioid Settlement with Kroger, Plaintiffs’ Executive Committee

National Opioid Settlement with CVS, Plaintiffs’ Executive Committee

National Opioid Settlement with Walgreens, Plaintiffs’ Executive Committee

National Opioid Settlement with Walmart, Plaintiffs’ Executive Committee

Wholesalers

Owner Of Utah-Based Pharmaceutical Wholesale Distributor Sentenced To 60 Months In Prison For Role In $100 Million Black Market Medication Scheme, United States Attorney’s Office - Southern District of New York

McKesson National Opioid Settlement, Plaintiffs’ Executive Committee

Cardinal Health National Opioid Settlement, Plaintiffs’ Executive Committee

AmerisourceBergen National Opioid Settlement, Plaintiffs’ Executive Committee

State Investigations & Audits

PBMs

Poor Accountability and Transparency Harm Medicaid Patients and Independent Pharmacies, Oregon Health Authority

An Audit of the Pharmacy Benefit Manager Services for the Physical HealthChoices Medicaid Program in Pennsylvania, Commonwealth of Pennsylvania Department of the Auditor General

Auditor’s Report: Pharmacy Benefit Managers Take Fees of 31% on Generic Drugs Worth $208M in One-Year Period, Ohio Auditor of State

Medicaid Pharmacy Pricing: Opening the Black Box, Kentucky Cabinet for Health and Family Service Office of Health Data Analytics Department for Medicaid Services

Florida Agency for Health Care Administration - Pharmacy Benefit Manager Practices in Statewide Medicaid Managed Care Program, Milliman Report

Report on Audit of Caremark, LLC, State of Tennessee Department of Commerce and Insurance

Settlement between Centene, Envovle & Washington State Health Care Authority, State of Washington Medicaid Fraud Control Division and Washington State Health Care Authority

Private Investigations & Audits

PBMs

PBMs and Prescription Drug Distribution: An Economic Consideration of Criticisms Levied Against Pharmacy Benefit Managers (alias Dr. Carlton Report [see original carltonreport.org]), Compass Lexecon

Side Effects, The Dispatch